Active NPI
Kenneth D Sawyer MD Corp
- Surgery Physician
- Arlington, WA
National Provider Identifier
1295928323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00019863
- Legal business name
- KENNETH D SAWYER MD CORP
- Practice address
- 875 Wesley St
Suite 210
Arlington, WA 98223-1613 - Phone
- (360) 403-8158
- Fax
- (360) 403-7098
- NPI assigned
- Aug 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth D Sawyer, MD PS
- Title
- Owner
- Phone
- (253) 588-7911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00019863 | WA | Primary |
Addresses
Primary practice location
875 Wesley St
Suite 210
Arlington, WA 98223-1613
Mailing address
PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1123249 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1275502411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187740800000",
"number": "1295928323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97115",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984970115",
"telephone_number": "253-588-7911",
"fax_number": "253-984-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WESLEY ST",
"address_2": "SUITE 210",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231613",
"telephone_number": "360-403-8158",
"fax_number": "360-403-7098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH D SAWYER MD CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A",
"authorized_official_last_name": "SAWYER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-588-7911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PS"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "WA",
"license": "MD00019863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1123249",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.